| NPI | 1457411753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME E. EUTENEUER Owner 952-927-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 8767) |
| Enumeration Date | 2006-12-10 |
| Last Update Date | 2008-05-20 |